Increased Cardiovascular and Anxiety Outcomes but Not Endocrine Biomarkers of Stress During Performance of Endoscopic Sinus Surgery A Pilot Study Among Novice Surgeons
Increased Cardiovascular and Anxiety Outcomes but Not Endocrine Biomarkers of Stress During Performance of Endoscopic Sinus Surgery A Pilot Study Among Novice Surgeons
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DOI：
10.1001/archoto.2011.60
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发表时间：
2011-05-01
影响因子：
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通讯作者：
Bernal-Sprekelsen, Manuel
中科院分区：
文献类型：
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作者：
Alobid, Isam;de Pablo, Juan;Bernal-Sprekelsen, Manuel
目的：目的：比较鼻内镜手术（ESS）中新手外科医生的心理生理反应。设计：随机研究。地点：学术机构。参与者：15名新手外科医生。主要结果测量：分别于术前30 min（T-30）、术前开始（T0）、术后15 min（T15）、术后10 min（T15）对15名外科新手进行心理生理学评价。术中45分钟（T45）和术后30分钟（T + 30）。参与者被随机分为使用计算机辅助手术系统进行ESS，不使用计算机辅助手术系统进行ESS，或在非手术日（对照日）进行评估。测量的状态-特质焦虑量表评分，视觉模拟焦虑量表评分，心率，血压，血浆皮质醇和催乳素level.Results：焦虑作为测量的状态-特质焦虑量表评分没有修改的实验条件。视觉模拟焦虑量表评分均值（SEM）增加（P
Objective: To compare psychophysiological responses among novice surgeons during performance of endoscopic sinus surgery (ESS).Design: Randomized study.Setting: Academic institution.Participants: Fifteen novice surgeons.Main Outcome Measures: The psychophysiological effects of performing ESS were assessed among 15 novice surgeons at 30 minutes before (T-30), at the beginning of (T0), at 15 minutes (T15), and 45 minutes (T45) during, and at 30 minutes after (T + 30) surgery. Participants were randomized to perform ESS with a computer-assisted surgery system, to perform ESS without a computer-assisted surgery system, or to be evaluated on a nonsurgical day (control day). Measured were the State-Trait Anxiety Inventory score, Visual Analog Anxiety Scale score, heart rate, blood pressure, and plasma cortisol and prolactin levels.Results: Anxiety as measured by the State-Trait Anxiety Inventory score was not modified by the experimental conditions. The mean (SEM) Visual Analog Anxiety Scale score increased (P